Harrison Gordner, DMD

NPI #1043624695 in Jbsa Lackland, Texas

Provider Information

NPI Number: 1043624695
Entity Type: Individual
Name: Harrison Gordner, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 11, 2014
Last Updated: Jun 14, 2016

Practice Location

Address: 2133 PEPPERRELL ST BLDG 3352
Address 2: 2133 PEPPERRELL STREET, BUILDING 3352
City: Jbsa Lackland
State: Texas
ZIP Code: 78236-5313
Phone: (210) 292-6258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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